Dental Board of California
Licensing details for: 11405
Name: BAYSIDE DENTAL PRACTICE, CHUNKEUN CHOI DDS INC.
License Type: Fictitious Name Permit
Primary Status: Cancelled
Organization Classification: Corporation
Secondary Status: Cancelled at the Request of the Licensee
Previous Names: BAYSIDE DENTAL
License Relationships
FNP Owners
License/Registration Role: Fictitious Name Permit
Related Party Role: Owners
Name: CHOI, CHUNKEUN
Address Not Disclosed
FNP to DDS or OMS
License/Registration Role: Fictitious Name Permit
Related Party Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Name: CHOI, CHUNKEUN
License/Registration Type: Dentist License
License Number: 56902 Primary Status: Current - Active
Address :
72 Peabody Rd
VACAVILLE CA 95687-4727
SOLANO COUNTY
